Evidence map›Paper›PMID 30226850›Full record

Observational studyPloS one2018

Mortality in nursing home residents: A longitudinal study over three years.

Corinna Vossius, Geir Selbæk, Jurate Šaltytė Benth, Sverre Bergh

2 registry-linked trialsAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04873973 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Optimized Acute Care for Geriatric Patients Using an Intersectoral Telemedical Cooperation Network - Around the Clock - Technical Performance

TypeinterventionalSponsorRWTH Aachen UniversityRan2021 to 2023Enrolled3,073ConditionsEmergenciesArmsTelemedical support
NCT04879537 nacompletednot on this mapstarted 2021, after this paper: background citation

Optimized Acute Care for Geriatric Patients Using an Intersectoral Telemedical Cooperation Network - Around the Clock

TypeinterventionalSponsorRWTH Aachen UniversityRan2021 to 2023Enrolled1,600ConditionsEmergenciesArmsTelemedical support
3 · Its place in the literature

Who cites it

51 citing papers in PubMed.

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  13. Predictors of mortality over time in geriatric patients with hip fracture.OTA international : the open access journal of orthopaedic trauma · 2024
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  14. The Involvement of Caregivers in the End-of-life Care of an Older Adult Living in a Long-term Care Home: A Qualitative Case Study with Nurses and Relatives.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Corinna VossiusCentre for Age-related Medicine, Stavanger University Hospital, Stavanger, Norway.ORCID 0000-0001-7542-6346
Geir SelbækCentre for Old Age Psychiatry Research, Innlandet Hospital Trust, Brumunddal, Norway.
Jurate Šaltytė BenthCentre for Old Age Psychiatry Research, Innlandet Hospital Trust, Brumunddal, Norway.
Sverre BerghCentre for Old Age Psychiatry Research, Innlandet Hospital Trust, Brumunddal, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveNursing home (NH) stay is the highest level of formal care. With the expected demographic changes ahead, the need for NH placement will put an increasing socioeconomic strain on the society. Survival in NHs and factors predicting survival are important knowledge in order to evaluate NH admission policies and plan future NH capacity.

methodsWe followed 690 NH residents included at admission to NH over a period of three years. Participants were examined at baseline (BL) and every six months. Demographic and clinical data were collected, including comorbidity, severity of cognitive impairment, dependency in activities of daily living (ADL) and neuropsychiatric symptoms. Median survival was calculated by the Kaplan-Meier analysis, and factors associated with mortality were identified by Cox models with baseline and time-dependent covariates.

resultsMedian survival in NH was 2.2 years (95% confidence interval [CI]: 1.9-2.4). Yearly mortality rate throughout the three-year observation period was 31.8%. Mortality was associated with higher age and comorbidity at BL, and more severe dementia, higher ADL-dependency, less severe psychotic symptoms, and a lower BMI throughout the study period. Of the organizational variables, living on a ward with more residents resulted in a higher risk of mortality.

conclusionIn conclusion, the NH mortality rate remained stable throughout the three-year study period with about one third of the residents deceasing each year. Individual resident characteristics appeared to be more important than organizational variables for predicting mortality risk. The finding of an association between ward size and mortality risk deserves further investigation in future studies.

Indexed as

MortalityNursing HomesAgedAged, 80 and overAge FactorsFemaleFollow-Up StudiesHumansLongitudinal StudiesMaleSurvival RateTime Factors

Identifiers

PMID30226850
PMCPMC6143238

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.